Order blank



iv: ign: no :a cum.

zwi@ am rmwm...

ORDER BLANK w. cALDwE| Filed Feb. 21, 1927 April 24, 1 928.

Patented Apr. 24, 1928. *d

WILLIAM LYON c irmwn-LL,Vv on INDIANAPOLIS, INDIANA.

ORDER. BLANK.-A

. Application` led February 21, 1927.; Serial No. 170,009.

The invention relates to a new" and im proved orderblank, intended primarily for use by dairies and their customers, to permit i the customers to inform the deliverymen as to the produce and quantity wished each.-k

day.

It is the principal object of the invention Vto provide an order blank on whichv the customer may indicate` the produce and quantity desired, simply proper position-l` ing of a clip or a plurality of such clips upon a card. This card bears printed matter spaced along an edgeand denoting various products and quantities thereof, and hence, by properly placing a clip or clips and positioning the card at a point accessible to the deliveryman, the customer may` make her needs known. Preferably, a clamp is provided for engagement with an empty milk bottle, to hold the order blank in readiness for attention by the deliveryman but since the construction of this clamp forms` no part of the present invention, it is omitted from thisr application. y

It is a further object of the invention, to make novel provision for holding the clips against sliding out of place, and at the same time providing means which may bey read by touch, if delivery is madelduring darkness.

Yet anothery aim of the invention is to provide for combining an account record with the order blank, permit-ting easy, keeping of the account by the deliveryman and allowing the customer to check the produce delivered on any order with the charge or harges entered on the card, for such pro- The preferred form of the invention is shown in the accompanying drawing, showing the card somewhat in perspective, with a plurality of the clips engaged therewith.

l On the drawing, the numeral 1 designates a card formed from any desired'material, although cardboard, preferably waterproofed, is probably most advantageous. Along one edge 2 of this card, are two rows of printed matter, said rows being identified by the numerals 3 and 4`respectively. The row 3 contains the names of products to be ordered, such as milk, nursery milk, cream, whipping cream, buttermilk, etc. The row 4 conta-ins quantity symbols printed opposite the produce names. For instance, opposite the word milk in thevrow 3, the symbols for one pint, one quart, two quarts and three quarts appear. Similarly, the quant-ity designations or symbols jar and one d ozl. appear opposite the names Cheese and Eggsn' v Y y Y With the card 1, I provide a plurality of clips 5, which 'may well be ordinary paper clips. vNVhen these clips are not in use, they may ywell be engaged withthe edge 6 of the card 1, and this card may be provided `with printed matter 7 adjacent said edge 6,giving the use of these clips tothe customer. By removing one or more of the clips 5 from the edge 6 and` engaging them with the edge 2, at the proper locations, the customer may make her needs known in a manner which cannot be misunderstood. lFor instance, if the customer wishes one quart of milk and one pintof cream, two of the clips 5 will be engaged with the edge 2,.at the positions shown in the drawing.

- The edge 2 of the card 1 is preferably` formed with longitudinally spaced notches 7, disposed opposite the quantit symbols of the row 4, and the clips 5 em ody portions 8 receivable in these notches, so that the clips cannot'be accidentally slid along the card, after they are once properly positioned. `To further aid in preventing such accidental sliding of the clips, the opposed edges 9 of each notch, are preferably undercut yor disposed in inwardly diverging relation. y

In additionto holding .the clips 5 accidental slippage, the notches 7 permit the deliveryman to: read an yorder by touch, if delivery is made in darkness. He becomes so familiar with the card, that when he feels a clip in the second notch from the top, he knows that one quart of milk is desired, if the clip is in the third notch, 4he knowsthat two quarts of milk are wanted, etc.

In addition to the subject matter above described, the card 1 preferably displays printed matter 10 providing for an account record. This. printed matter provides spaces 11 for all days of the month, in which against i the costsof the produce are entered b the deliveryman, opposite the date on whic the delivery is made.k The matter 10 also embodies spaces 12 in which the amount duel the company for any days delivery is totaled, and other spaces 13 are provided in which the deliveryman makes entries 0f any payments made by the customer. The spaces 14 are to be filled withfthe; initials of the drivers 'making the collections,-

UGV

CTI

space 115 is preferably provided at the top of the printed matter l() to receive any balance carried forward lfrom the previous card. Similarly, another space 16 is provided at the lower end of the printed matter l0, to be occupied by any amount which is.

to be carried forwardv to the next card.

In addition to the subject matter so farv` described, the card 1 preferably bears lines 17 upon which to write the customers name and address, displays a note 18 to the cus-,

An order blank for products intended toy -Clesignations, and clipsy adapted to frictionally straddle said edge of card at designations V showing the product. and quantity` wanted, said clips havingl portions for reception in said' notches, whereby the clips are held againstl accidental sliding out ot' place, said notches having` their opposed edges disposed in inwardly diverging Vrelation to more effectively hold the clipsaga-inst acci# dental slippage and also permitting,l the del'iverynianl to read the order by touch if delivering. in darkness.

In testimony whereof I have hereunto affixed my signature.

WILLIAM LYON CALDI/VELL 

